1194057273 NPI number — MS. NANCY LYNNE RICHARDS-MARCUS MA

Table of content: MS. NANCY LYNNE RICHARDS-MARCUS MA (NPI 1194057273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194057273 NPI number — MS. NANCY LYNNE RICHARDS-MARCUS MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICHARDS-MARCUS
Provider First Name:
NANCY
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194057273
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
53 EAGLE ST
Provider Second Line Business Mailing Address:
IST FL
Provider Business Mailing Address City Name:
PITTSFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01201-4714
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-236-5656
Provider Business Mailing Address Fax Number:
413-499-6572

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
53 EAGLE ST
Provider Second Line Business Practice Location Address:
IST FL
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01201-4714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-236-5656
Provider Business Practice Location Address Fax Number:
413-499-6572
Provider Enumeration Date:
02/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com